How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $245.47 | Facility | None | $177.83 | $177.83 | $245.47 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $53.70 | Facility | 26 · Professional part | $46.77 | $53.70 | $53.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $123.03 Median $199.53 Typical High $489.78 | Facility | TC · Technical part | $123.03 | $199.53 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $239.88 Typical High $269.15 | Professional | None (both parts) | $125.89 | $239.88 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $50.12 Typical High $91.20 | Professional | 26 · Professional part | $45.71 | $50.12 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $177.83 Typical High $199.53 | Professional | TC · Technical part | $83.18 | $177.83 | $199.53 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $114.82 | Professional | 26 · Professional part | $60.26 | $60.26 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $316.23 Typical High $478.63 | Facility | None | $229.09 | $316.23 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $123.03 Typical High $489.78 | Professional | None (both parts) | $100.00 | $123.03 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $102.33 | Professional | 26 · Professional part | $34.67 | $39.81 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $354.81 | Professional | TC · Technical part | $66.07 | $77.62 | $354.81 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $204.17 Typical High $223.87 | Professional | None (both parts) | $169.82 | $204.17 | $223.87 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $75.86 | Professional | 26 · Professional part | $58.88 | $67.61 | $75.86 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $134.90 Typical High $144.54 | Professional | TC · Technical part | $112.20 | $134.90 | $144.54 |
Horizon BCBS Setting Facility Modifier None Typical Low $331.13 Median $11,481.54 Typical High $23,988.33 | Facility | None | $331.13 | $11,481.54 | $23,988.33 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $446.68 Median $16,982.44 Typical High $27,542.29 | Facility | TC · Technical part | $446.68 | $16,982.44 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $173.78 Typical High $398.11 | Professional | None (both parts) | $151.36 | $173.78 | $398.11 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $58.88 Typical High $91.20 | Professional | 26 · Professional part | $51.29 | $58.88 | $91.20 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $117.49 Typical High $204.17 | Professional | TC · Technical part | $100.00 | $117.49 | $204.17 |
United Setting Facility Modifier None Typical Low $10,715.19 Median $10,715.19 Typical High $23,442.29 | Facility | None | $10,715.19 | $10,715.19 | $23,442.29 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $154.88 Typical High $457.09 | Professional | None (both parts) | $112.20 | $154.88 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $50.12 Typical High $95.50 | Professional | 26 · Professional part | $37.15 | $50.12 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $97.72 Typical High $245.47 | Professional | TC · Technical part | $74.13 | $97.72 | $245.47 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $63.10 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $25.12 | $48.98 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $199.53 Typical High $199.53 | Professional | FX · Film X-ray | $100.00 | $199.53 | $199.53 |
Where New Jersey sits
The same service costs 4.2 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New Jersey· 39th of 51
$174
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.